Relief of mesenteric ischemia by Z-stent placement into the superior mesenteric artery compressed by the false lumen of an aortic dissection.
In a 58-year-old man acute aortic dissection compromised the origin of the superior mesenteric artery (SMA), resulting in mesenteric ischemia. After failed balloon angioplasty a Gianturco Z-stent was placed. The stenosis improved immediately, followed by resolution of the clinical signs of mesenteric ischemia. SMA flow was well preserved 1 year after stenting.
Yamakado
K
K
Department of Radiology, Mie University School of Medicine, 2-174, Edobashi, Tsu Mie, 514, Japan.
Takeda
K
K
Nomura
Y
Y
Kato
N
N
Hirano
T
T
Matsumura
K
K
Nakagawa
T
T
Yuasa
H
H
Yada
I
I
D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D000792:Angiography; D000800:Angioplasty, Balloon / Q000009:adverse effects; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic / Q000150:complications / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D015607:Stents